Key result
An adolescent male presenting with acute chest pain was diagnosed with a circumferential type A aortic dissection extending from the aortic root to the arch.
Case Report (n=1)
This case report highlights the presentation and multimodality imaging findings of a circumferential type A aortic dissection in an otherwise healthy adolescent male.
Consider type A dissection in adolescents with acute chest pain; hypothesis-generating for etiology and imaging in youth without risk factors.
An adolescent otherwise healthy male presented with acute onset chest pain. Physical examination was remarkable for early diastolic murmur of aortic regurgitation. Transthoracic and subsequently transoesophageal echocardiography revealed aortic dissection extending to the arch. CT angiography revealed a circumferential type of aortic dissection extending from the aortic root to the arch (type A) with extension of the dissection flap into the right brachiocephalic artery (fig 1). Figure 1 Enhanced CT shows an intimal flap in the ascending aorta.
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Choh et al. (2009) conducted a case report in Circumferential aortic dissection (n=1). An adolescent male presenting with acute chest pain was diagnosed with a circumferential type A aortic dissection extending from the aortic root to the arch.
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